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Contact Information

NITIN P TALLAM, MD
200 MUIR RD
PHYSICAL MEDICINE & REHABILITATION
MARTINEZ, CA94553
 Phone: 925-372-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for NITIN P TALLAM · (Male)

NPI # 1689170516
Status Active
Credentials MD
Entity Individual
Enumeration date 03/31/2018
Last updated 06/27/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • CA License # A175972
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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